GATE PASS FORM

(Delivery)

Control No.:
Bearer: 40 DEGREE Building: Central Block 2 tower
Owner/Tenant/Contractor: KIM KWANGTAE Date: A p r i l 4 2024

Reason for transfer:

QUANTITY DESCRIPTION ACTUAL COUNT REMARKS

1 roll Liquid tight rubber flexible hose 2”
diamter

Prepared by: Cleared/Inspected by:

Kim Kwangtae
Owner/Tenant/Contractor Representative Security Guard

Verified by: Date & Time Released:

Security
Officer

Approved by: Location:

Property Manager/Building Engineer

APMC is not liable for any damage and loss of properties caused by the transferring in or out of the items.
Copy 1 – Tenant/Owner/ Contractor representative; Copy 2 – Security; Copy 3 – Property Manager